OPTIM ORTHOPEDICS, LLC (NPI# 1134598477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134598477 |
| Entity Type | Organization |
| Organization Name | OPTIM ORTHOPEDICS, LLC |
| Other Organization Name | OPTIM ORTHOPEDICS |
| Practice Address |
1126 W 12th St Alma GA 31510-1814 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 9126445300 |
| Practice Fax Number | 9126445280 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | MARK W. MILLER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9126441626 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTIM ORTHOPEDICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1730573841 | Optim Orthopedics, LLC | Orthopaedic Surgery | 810 Towne Park Dr Ste 200, Rincon, GA 31326-5167 | 2015-03-26 |
| 1194118133 | Optim Orthopedics, LLC | Orthopaedic Surgery | 110 E Tollison St, Baxley, GA 31513-0122 | 2015-03-16 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1033676515 | Optim Orthopedics, LLC | Orthopaedic Surgery | 602 E Long St, Claxton, GA 30417-5914 | 2019-02-21 |
| 1225492341 | Optim Orthopedics, LLC | Orthopaedic Surgery | 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313-3915 | 2016-04-06 |
| 1225491970 | Optim Orthopedics, LLC | Orthopaedic Surgery | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2016-03-31 |
| 1306211529 | Optim Orthopedics, LLC | Orthopaedic Surgery | 821 S Main St, Suite C, Baxley, GA 31513-0164 | 2015-12-14 |
| 1447627641 | Optim Orthopedics, LLC | Orthopaedic Surgery | 3345 Us Highway 84, Suite 100, Blackshear, GA 31516-2159 | 2015-08-24 |
| Street Address |
1126 W 12TH ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508877986 | Lou Ellen Hutcheson | Specialist | 1126 W 12th St, Alma, GA 31510-1814 | 2006-08-10 |
| 1619440260 | Lou Ellen Hutcheson Md PC | Obstetrics & Gynecology | 1126 W 12th St, Alma, GA 31510-1814 | 2019-01-07 |
| 1770098410 | Jennifer Darlene Dowling | Nurse Practitioner | 1126 W 12th St, Alma, GA 31510-1814 | 2017-12-04 |
| 1144625336 | Tattnall Hospital Company LLC | Neurological Surgery | 1126 W 12th St, Alma, GA 31510-1814 | 2014-10-30 |
| 1447587712 | Patsy L. Lott | Nurse Practitioner | 1126 W 12th St, Alma, GA 31510-1814 | 2009-11-06 |
| 1619174091 | Harrison C Carter Md PC | Nurse Practitioner | 1126 W 12th St, Alma, GA 31510-1814 | 2007-06-29 |
| 1043221492 | Harrison Clay Carter | Internal Medicine | 1126 W 12th St, Alma, GA 31510-1814 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639485394 | Bacon County Health Services, Inc. | Orthopaedic Surgery | 205 S Wayne St, Alma, GA 31510-2919 | 2010-08-19 |
| 1760733646 | James E Ware Do PC | Orthopaedic Surgery | 160 E Warwick Dr, Suite B, Alma, MI 48801-1010 | 2012-10-02 |
| 1457547770 | Gratiot Medical Center | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2007-09-20 |
| 1043389240 | Joseph R Yacisen Do PC | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2006-11-06 |
| 1295819332 | Thomas J Haverbush Md PC | Orthopaedic Surgery | 315 E Warwick Dr, Suite A, Alma, MI 48801-1083 | 2006-10-25 |
| 1831203256 | Joseph Richard Yacisen | Orthopaedic Surgery | 315 E Warwick Dr, Ste B, Alma, MI 48801-1083 | 2006-08-19 |
| 1063449650 | James Eldon Ware | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2006-06-27 |
| 1306811120 | Thomas J Haverbush | Orthopaedic Surgery | 315 E Warwick Dr, Suite A, Alma, MI 48801-1083 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.